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SAN ) O A Q U I N Environmental Health Department <br /> AMENDED <br /> A111An,1t1n1 <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> FLAG CITY CHEVRON 6421 CAPITOL AVE, LODI April 26, 2021 <br /> Other Violations <br /> 3050 1 See below Unlisted Abandonment/Illegal DisposaVUnauthorized Treatment violation ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 110 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. <br /> OBSERVATION: The business operator could not provide hazardous waste disposal records for the past three <br /> years during the inspection. Elite IV work order number 4695 noted that hazardous waste(a fuel nozzle)was <br /> generated on 4/20/2021. The waste was"placed in drums on site." No hazardous waste was observed on site. <br /> The facility's last documented hazardous waste pickup was before 4/20/2021. <br /> REGULATION GUIDANCE: A hazardous waste generator shall keep a copy of each manifest signed in accordance <br /> with section 66262.23(a)for three years or until the generator receives a signed copy from the designated facility <br /> which received the waste. This signed copy shall be retained as a record for at least three years from the date the <br /> waste was accepted by the initial transporter. <br /> CORRECTIVE ACTION: Provide a copy of the disposal record for the hazardous waste that was generated from <br /> the work order. Provide these records and a corrective action statement to the EHD within 30 days. <br /> This is a repeat violation, Class ll. <br /> Overall Inspection Comments: <br /> An inspection checklist was provided to the facility operator on the day of inspection. A complete report was <br /> finished on April 28, 2021, and replaces the initial checklist. <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by May 28, 2021. <br /> The report was emailed to Stars Holding at <starsholdingco@gmail.com>. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURL`> TE. <br /> Received by: <br /> Daft: April 28, 2021 Inspector. Inspector Phone: <br /> Printed Name and Title: JOHN ALANIZ, Senior REHS (209)616-3053 <br /> Report emailed to, Stars Holding <br /> FA0000485 PRO519074 SC001 04/26/2021 <br /> EHD 22-01 Rev.9/16/2020 Page 4 of 4 Small Quantity Hazardous Waste Generator OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />